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确定经皮机械循环支持设备在难治性心力衰竭治疗中的作用。

Defining the role for percutaneous mechanical circulatory support devices for medically refractory heart failure.

作者信息

Kapur Navin K, Jumean Marwan F

机构信息

The Cardiovascular Center, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.

出版信息

Curr Heart Fail Rep. 2013 Jun;10(2):177-84. doi: 10.1007/s11897-013-0132-1.

Abstract

Despite significant advances in the management of heart failure, short-term mortality due to advanced heart failure and cardiogenic shock remains high. Developed over the past few decades, percutaneous circulatory support devices offer a rapid and effective approach to slow the downward spiral of hemodynamic instability in patients presenting with decompensated heart failure until a more definitive strategy is pursued or patients recover. This review will discuss the goals of percutaneous circulatory support, the types of devices currently available, and the most recent clinical datasets examining the utility of these devices.

摘要

尽管在心力衰竭管理方面取得了重大进展,但晚期心力衰竭和心源性休克导致的短期死亡率仍然很高。经皮循环支持设备在过去几十年中得到发展,为患有失代偿性心力衰竭的患者提供了一种快速有效的方法,以减缓血流动力学不稳定的下行螺旋,直到采取更明确的策略或患者康复。本综述将讨论经皮循环支持的目标、目前可用的设备类型,以及检验这些设备效用的最新临床数据集。

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